Miriam Charles-Flores, LCSW

Miriam Charles-Flores is an LCSW with four decades of clinical experience. She helps people manage stress, anxiety, depression, grief, relationship and intimacy concerns, and a range of life changes. She also supports those facing addiction, trauma, eating and sleeping problems, and issues tied to aging and geriatric concerns.

She earned a Master of Social Work from Smith College and has worked in outpatient and inpatient hospitals, schools, and private practice. That broad background shaped a straightforward, practical approach to therapy. Miriam listens carefully and encourages people to describe what they are experiencing in their own words.

Her work blends several approaches to fit each person. She uses attachment-based ideas to look at relationship patterns. She draws on cognitive-behavioral tools to change unhelpful thinking and behavior. Mindfulness practices are used to help people notice the present moment and manage strong emotions.

Miriam emphasizes building clear goals together. She conducts an assessment to understand strengths, struggles, and priorities. From that she helps design a focused plan that aims to reduce repetitive anxiety and depressive patterns and improve daily functioning.

Her style is compassionate and interactive. She invites people to take an active role in shaping therapy and practices problem solving and skills coaching alongside talk therapy. Sessions are offered in English and Spanish, and she accepts international clients.

How her approaches translate to online therapy

Attachment-based work focuses on how early relationships shape current connections and patterns. In sessions this looks like mapping relationship styles, noticing how people respond to closeness or distance, and practicing new ways to connect. Cognitive behavioral therapy (CBT) helps identify and change unhelpful thoughts and behaviors. Online CBT often includes clear goals, homework exercises, and step-by-step practice to reduce anxiety or depressive symptoms. Mindfulness therapy trains simple noticing skills to reduce reactivity and improve coping with strong emotions.

Finding the right approach is part of the process. The therapist will work with each person to decide which methods match their needs, goals, and preferences. That decision is collaborative and may shift as progress is made.

The original biography does not list specific session formats, so confirm current options before booking. Many people find online sessions help fit therapy into a busy life - they can save travel time, offer easier scheduling around work or caregiving, and allow shorter check-ins when needed. Online work also makes it possible to continue therapy when routines or locations change. Licensed professionals can adapt these approaches to an online setting so clients can practice skills and talk through problems from wherever they are located.